Active NPI
David C Nissen, AUD
- Audiologist
- Prairie Village, KS
National Provider Identifier
1891762407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1843
- Practice address
- 7301 Mission Rd Ste 140
Prairie Village, KS 66208-3005 - Phone
- (913) 262-5855
- Fax
- (913) 262-5869
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1843 | KS | Primary |
| Audiologist | 231H00000X | 2019016856 | MO |
Addresses
Primary practice location
7301 Mission Rd Ste 140
Prairie Village, KS 66208-3005
Mailing address
PO Box 19087
Lenexa, KS 66285-9087
Phone (913) 262-5855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7301 Mission Rd
Suite 140
Prairie Village, KS 66208-3005
Phone (913) 384-2105
8350 N St Clair Ave
Suite 175
Kansas City, MO 64151-5100
Phone (913) 384-2105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1843 | KS | MD | Clinical Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1891762407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19087",
"city": "LENEXA",
"state": "KS",
"postal_code": "662859087",
"telephone_number": "913-262-5855",
"fax_number": "913-262-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 MISSION RD STE 140",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083005",
"telephone_number": "913-262-5855",
"fax_number": "913-262-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISSEN",
"first_name": "DAVID",
"middle_name": "C",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "1843",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2019016856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.